NPI | 1992073076 |
---|---|
Former Name | CLAIRE DORAN JAKABEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110003674) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C04647) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2023-11-27 |